Subacute combined degeneration of cord - vitamin B12 deficiency

Case contributed by Dr Nafisa Shakir Batta


Progressive tingling numbness in both hands.

Patient Data

Age: 42 years
Gender: Female

Cervical cord edema and minimal expansion is noted, discretely involving the posterior column tracts, simulating the inverted Vsign on axial imaging, consistent with subacute combined degeneration of cord. This is due to vitamin B12 deficiency.

Case Discussion

Above findings are in keeping with subacute combined degeneration of cervical cord.

Patient's symptoms improved after initiating vitamin therapy.

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Case information

rID: 29761
Published: 20th Jun 2014
Last edited: 22nd Sep 2015
Inclusion in quiz mode: Included

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